NPI | 1730756883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY 59049) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022047682) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-06-08 |
Last Update Date | 2024-06-28 |